What is it?

Barrett’s Esophagus refers to the hardening of throat tissue, which increases the risk of esophageal cancer. Thus, it is a pre-malignant condition. It is believed that Barrett’s Esophagus is caused by chronic reflux of acid from the stomach into the esophagus, also known as Gastroesophageal Reflux Disease (GERD).

Who’s at Risk?

If someone has heartburn that is left untreated, acid reflux from the stomach can cause changes in the cells that line the esophagus. The changed lining is called Barrett’s Esophagus. People who have Barrett’s are at an increased risk of having esophageal cancer.

Symptoms

Most people with Barrett’s have a long-term history of acid reflux and have indigestion or heartburn two or more times per week. Other symptoms may include unexplained, persistent cough; heartburn that prevents a good night’s sleep; and swallowing difficulties. Other people, however, have little heartburn and no other warning signs, even though their internal damage may be quite significant.

Diagnosis

Barrett’s is diagnosed by endoscopy with biopsy of the esophageal lining. It cannot be diagnosed by X-ray or through blood tests.

Treatment

Simple measures, like changing your diet and taking antacids on occasion, will keep heartburn under control.

If you have acid reflux, your doctor may recommend medications such as Axid, Pepcid, Zantac, or Tagamet, which are available in prescription-strength or lower-dose, over-the-counter form. This medication is usually taken for life because symptoms often return when patients stop taking it.

Because so many effective medications are available, surgery is rarely necessary.

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